|Title:||Early-onset seizures are correlated with late-onset seizures in children with arterial ischemic stroke||Authors:||Tsai, Tzu-Yun
STEVEN SHINN-FORNG PENG
Peng, Steven Shinn-Feng
|Issue Date:||2014||Journal Volume:||45||Journal Issue:||4||Start page/Pages:||1161-1163||Source:||Stroke||Abstract:||
BACKGROUND AND PURPOSE - : Early-onset seizures are common in children with arterial ischemic stroke, but the clinical features and effects on the outcome of early-onset seizures have been less studied in children. METHODS - : Children aged 1 month to 18 years presenting with first-time and image-confirmed arterial ischemic stroke were identified for analysis. RESULTS - : A total of 78 survivors of arterial ischemic stroke were enrolled. Twenty (25.6%) had early-onset seizures, and 90% were initial presentation. Younger children (mean, 3.4±3.9 versus 9.0±6.2 years; P<0.001) and cortical involvement (5% versus 63.8%; P=0.01) are more likely to have early-onset seizures. Thirteen of 20 survivors with early-onset seizures had late-onset seizures after the acute stage, and 12 of them were diagnosed as poststroke epilepsy. CONCLUSIONS - : Early-onset seizures occurred in 25.6% of children with arterial ischemic stroke. Younger age and cortical involvement were risk factors for early-onset seizures. Sixty-five percent of children with early-onset seizures had late-onset seizures after the acute stage. ? 2014 American Heart Association, Inc.
|DOI:||10.1161/STROKEAHA.113.004015||metadata.dc.subject.other:||anticonvulsive agent; adolescent; adult; age; age distribution; anticonvulsant therapy; arterial ischemic stroke; article; blood clotting disorder; brain cortex; brain ischemia; chemoprophylaxis; child; childhood disease; clinical feature; controlled study; correlational study; disease association; disease course; early onset seizure; electroencephalogram; epilepsy; female; follow up; heart disease; hematologic disease; high risk patient; human; infant; infection; late onset seizure; major clinical study; male; metabolic disorder; poststroke epilepsy; preschool child; priority journal; recurrent disease; risk assessment; school child; seizure; survivor; symptom assessment; vascular disease; vasculitis; young adult; children; epilepsy; seizures; stroke; Acute Disease; Adolescent; Age Distribution; Age of Onset; Brain Ischemia; Child; Child, Preschool; Epilepsy; Female; Follow-Up Studies; Humans; Infant; Infant, Newborn; Male; Risk Factors; Stroke; Survivors
|Appears in Collections:||醫學系|
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